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Ms. Kelly Michelle Ellis
Other Specialist/Technologist in Humble, Texas
NPI 1992014971

Kelly Michelle Ellis is a Other Specialist/Technologist based in Baytown, TX. Kelly Michelle Ellis practices in Humble, TX. The NPI Number for Kelly Michelle Ellis is 1992014971 and holds a License No. CPT14091 (Texas).

The current practice location address for Kelly Michelle Ellis is 4230 Tree Moss Pl, Humble, TX and can be reached out via phone at 281-454-4497.

Location: 4230 Tree Moss Pl, Humble, TX, 77521-1074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992014971
Provider Name
Kelly Michelle Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4230 Tree Moss Pl, Humble, TX, 77521-1074
Phone Number
281-454-4497
Fax Number
Provider Enumeration Date
09/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4230 Tree Moss Pl
City
Humble
State
Texas
Zip
77346-4560
Phone Number
281-454-4497
Fax Number
person
Provider Business Mailing Address Details
Address
4230 Tree Moss Pl
City
Humble
State
Texas
Zip
77346-4560
Phone Number
281-454-4497
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
CERTIFIED BIOTECH (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
CPT14091 (California)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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